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General NPI Number Information
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NPI Number | 1881675676
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Entity Type | Organization
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Legal Business Name | SOUTHERN CLARION COUNTY VOLUNTEER AMBULANCE SERVICE
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 03/19/2019
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Provider Practice Location Address
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Address Line | 10515 ROUTE 68
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City | RIMERSBURG
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State | PA
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Zip | 16248-7005
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Country | US
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Telephone | 814-473-6252
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Fax | 814-473-9830
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Provider Business Mailing Address
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Address Line | 10515 ROUTE 68
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City | RIMERSBURG
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State | PA
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Zip | 16248-7005
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Country | US
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Telephone | 814-473-6252
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Fax | 814-473-9830
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | FREDRICK VASBINDER
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Credential |
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Telephone | 814-473-6252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 03020
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License Number State | PA
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